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1649835521
JAMES LEROY MOORE
COLUMBIA, MO
NPI
1649835521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: MO 113646)
Enumeration Date
2019-05-06
Last Update Date
2019-05-06
Business Address
JAMES LEROY MOORE
5010 WOOD SHIRE DR
COLUMBIA, MO 65202-6654
Phone number: 816-674-5528
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Mailing Address
JAMES LEROY MOORE
5010 WOOD SHIRE DR
COLUMBIA, MO 65202-6654
Phone number: 816-674-5528
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